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The purpose of this study is to evaluate the effectiveness of a food-source nutrient containing bitter orange by comparing changes 45 blood chemistries and self-reported quality of life.
To evaluate the safety and efficacy of a food-source nutrient by comparing changes in total cholesterol levels, 44 other blood chemistries, and self-reported quality of life as a function of consuming two different functional-food supplements versus a placebo in a 60-day study.
Upon completion of the pre-study screening, and after having received an explanation of the requirements, risks and benefits, and completing the informed consent interview with the research coordinator, subjects will execute a written informed consent. Subjects will be randomly assigned to one of three study groups.
Relevant Background Information.
A factor leading to development of vascular disease, a leading cause of death in industrialized nations, is elevated serum cholesterol. It is estimated that 19% of Americans between the ages of 20 and 74 years of age have high serum cholesterol. However, in an analysis of 10,000 test results in our database from subjects similar to those who are likely to participate in this study, we found 37% of subjects had TC scores between 200 and 250 and 10.3% above 250.
The most prevalent form of vascular disease is arteriosclerosis, a condition associated with the thickening and hardening of the arterial wall. The regulation of whole-body cholesterol homeostasis involves the regulation of intestinal cholesterol absorption, cellular cholesterol trafficking, a modulation of cholesterol biosynthesis, bile acid biosynthesis, steroid biosynthesis and the catabolism of the cholesterol-containing plasma lipoproteins. Regulation of intestinal cholesterol absorption has proven to be an effective means by which to regulate serum cholesterol levels.
Ad-Chol-Pre (ACP) is a functional food ingredient designed to inhibit cholesterol absorption. ACP is a freeze dried defatted egg powder containing specific Anti-NPCIL1 (Niemann-Pick C1-like 1) IgY. NPC1L1 is known as a biological target of the cholesterol-uptake inhibitor, Ezetimibe. In previous unpublished pilot studies examining the safety and efficacy of ACP include:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ad-Chol-Pre | Active Comparator | A functional food ingredient designed to inhibit cholesterol absorption. ACP is a freeze dried defatted egg powder containing specific Anti-NPCIL1 (Niemann-Pick C1-like 1) IgY. NPC1L1 is known as a biological target of the cholesterol-uptake inhibitor, Ezetimibe. |
|
| Half-dose Ad-Chol-Pre | Active Comparator | A half-dose of the active comparator in arm one is administered. A functional food ingredient designed to inhibit cholesterol absorption. ACP is a freeze dried defatted egg powder containing specific Anti-NPCIL1 (Niemann-Pick C1-like 1) IgY. NPC1L1 is known as a biological target of the cholesterol-uptake inhibitor, Ezetimibe. |
|
| Capsule containing inactive component of defatted egg yolk | Placebo Comparator | Placebo capsule is filled with defat egg yolk only without specific IgY which is anti-NPC1L1 IgY, designed to look and taste the same as the active product capsule, but does not contain the active component. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ad-Chol-Pre | Dietary Supplement |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Total Cholesterol and LDL levels at 30 days | 0 and 30 days | |
| Change from baseline in Total Cholesterol and LDL levels at 60 days | 0 and 60 days | |
| Change from mid-point in Total Cholesterol and LDL levels at 60 days | 30 and 60 days |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Chemistry Measurements | Remaining lipids, Complete Blood Count, Metabolic Panel, Thyroid Stimulating Hormone, Cardio C-reactive Protein | 0, 30, and 60 days |
| Self-reported Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patricia L Keith | Contact | 210-824-4200 | hmrcenterstudy@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Gilbert R Kaats, PhD FACN | Integrative Health Technologies, Inc. | Principal Investigator |
| Harry G Preuss, MD MACN | Georgetown University Medical Center, Dept of Biochemistry, Medicine and Pathology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Integrative Health Technologies | Recruiting | San Antonio | Texas | 78209 | United States |
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| Half-dose Ad-Chol-Pre |
| Dietary Supplement |
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| Defatted egg yolk without the active ingredient of the other two interventions | Other |
|
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| 0, 30, and 60 days |
| Number of participants with adverse effects | up to 60 days |
| Sidney J Stohs, PhD | Dean Emeritus, Creighton University Health Sciences Center | Study Director |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D006937 | Hypercholesterolemia |
| ID | Term |
|---|---|
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069438 | Ezetimibe |
| ID | Term |
|---|---|
| D001384 | Azetidines |
| D001385 | Azetines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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